Provider Demographics
NPI:1043762081
Name:MAIDEN-WILLIAMS, BRIDGET LYNETTE (PLPC)
Entity Type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:LYNETTE
Last Name:MAIDEN-WILLIAMS
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 ROBERT LN
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:LA
Mailing Address - Zip Code:71006-8326
Mailing Address - Country:US
Mailing Address - Phone:318-771-8210
Mailing Address - Fax:
Practice Address - Street 1:1007 ROBERT LN
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:LA
Practice Address - Zip Code:71006-8326
Practice Address - Country:US
Practice Address - Phone:318-771-8210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health